Argumentative Essays – Decision Maker
March 15, 2022
Soci – 3820 Approach to Healthcare
March 15, 2022
Part A: Justification: Autonomy and Accountability
- Legislation
Description
During healthcare training, I have experienced that negligence liability in the healthcare system can lead to harmful areas. In my practice days, I was handling a person who was suffering from a physical disability (Bell, Crawford, & Holloway, 2018). During that time the nurses treat the patient with a sort of negligence such as the patient was blind and needed proper guidance but nurses are not giving personal attention any busy doing other activities. The decision made by the healthcare profession affected the condition of the patient both negatively and positively. My practice days made me realise that negligence in the legislative areas of healthcare can cause severe damage to the patient and patient family. In such cases, abiding by the principle of healthcare professions and maintaining the protocols within the New Zealand healthcare reformations can help with sustainable career development.
Feelings
In the initial days of my practice, I was unable to analyse the situation correctly and got confused to see such physically disabled people (Crawford, Brown, Groom, & Crowther, 2016). Further, I noticed, as the person is a blind nod not able to see any this person-faced lots of negligence in his caring activities by the nurses. Healthcare professionals need to treat the patient with more precision and try to bring out them from such a disability.
Evaluation
Some acts are present such as Health and Disability Services Act 2001, Health and Disability Commissioner Act 1994 (HDC Act). These acts investigate all the complaints, which are related to healthcare services and strengthen the leadership oversight of the professionals (Goh, 2018). In my practice days, I observed some complaints being filed against a few nurses, which came under the act of HDSS. According to this act these nurses get punishment the act revealed that complaints against anyone if found true then the person has to face the consequences in the form of punishment (Barnes & Butler, 2020).
Analysis
From my practice days, I had briefly analysed the situation and listed out the factors, which bring such as negligence in the healthcare field. Another is that the feedback of the patient’s family can restrict such negligence. The learning outcome of that situation is to briefly scrutinize the work of all healthcare staff carefully and give them proper training to handle a bundle of patients in a synchronised way.
Conclusion
In my practice days, I got both positive and negative experiences as I learned many techniques to treat physically disabled people in an effective way. The negative part is I observed lots of pouffe health professionals are not taking their duty seriously; they often neglect their patients to treat.
- Professional standards and guidelines
Description
In my practice days, I found that various patients and their family members are facing ethical issues, which make it difficult for them to make a decision whether they should take the patient to a hospital or not (Gwynne-Jones & Hooper, 2019). I especially notice access to care as the family of the patient faces difficulty in accessing the medical treatment of the patient.
Feelings
My feeling in that situation is quite heartbreaking I noticed people due to financial reasons had to stop the treatment of the patient when the recovery growth was quite high. I controlled my emotions as in a profession there is a protocol to not mix professional and personal life.
Evaluation
This type of situation is very difficult to cope up with, as the feeling, which is raised, will make it hard to work as professionalism. Observing people with no way out and no left access to treat the patient made me realise that the cost of treatment needs to be affordable for all (King, Boyd, Dagley, & Raphael, 2018).
Analysis
The situation gave me a negative experience and I decided to make the treatment cost affordable for all middle-class people, which helps them to treat the patient. Some medical institutions consider the patient’s financial condition and continue treating him. Dealing with such conditions is difficult but doing health insurance at an early phase of life cannot bring such a situation for the patients. I would try to influence people to do at least on health policy so that they can fight any diseases without hampering the family.
Conclusion
It can be concluded that the situation of access to care helpless the family of the patient to provide treatment cost. With my experience, I need to develop control in me, which can help to control my emotions in such situations and become more professional (Lee, Collins, & Simon-Kumar, 2020)l.
Action Plan
In the action plan, five steps are required to maintain, which can solve the ethical issues in the workplace (Magill, 2017). In the very first step, the healthcare expertise needs to identify the people in this case the problem is associated with money. Secondly, accumulate data regarding such issues and compare the issue. Lastly, try to identify the power and controlling factors of the situation.
Part B: Evaluation: Personal, Cultural and Professional Standards
- a) Personal Standards
Situation 1
Description
During my practice days, I experienced patients who are suffering from diseases, which are difficult to examine at an early age. Technical efficiency was lacking somewhere to make the treatment efficient. More researchers are needed to examine such disease at an early stage and dace the patient from death. Technological improvement is required to grow the medical industry in an intensive manner (Ministry of Health, 2019).
Feelings
My feelings are quite heartbroken to see little children suffering from chronic disease due to technological degradation. Healthcare professionals cannot be able to save such lives from death.
Evaluation
My personal experience of mine helps me realise the importance of research and introducing advanced facilities to fight some chronic diseases in the medical industry. The number of challenges has been rising day by day from my personal experience I can assure that to save the world from a variety of nest diseases proper policies and investments are required in the medical industry (NZMA, 2020).
Analysis
The experience personally affected me to convince people to understand the importance of technological advancement in the medical field. The positive experience is that the improvement in the technological field is increasing but at a slow pace, which needs good momentum to provide effective practices to introduce.
Conclusion
Thus it can be concluded that the importance of technological advancement is crucial at this point of time and I think giving more opportunities to researchers to research and ways to provide them all required equipment should have every citizen’s prior concern (OECD, 2020).
Action plan
The action plan in this regard required proper planning at the very first stage to try to analyse ways to increase the level of opportunity for students to become researchers and later give them required financial support to get the user equipment which led them to invent new systems.
Situation 2
Description
In my early days, children with suicidal thoughts about the environment of school may lead to such a position at which they might want to end their life. The child was 13 years old and tried to jump over the building after analysing his situation. I found some reason, which led him to do such action.
Feelings
The child was not liked by their friends so he tried to take such action (Stuetzle, Pavlin, Smith, & Weston, 2018). This makes me sad that the child who had to go through such a situation at an early phase of life.
Evaluation
The child reached this position as he was bullied by his friends for his appearance the child was shorter among all studs. Other students of his class belie him for his height, which leads the person to take such drastic steps at every phase of time.
Analysis
The positive experience was that I found the parents are giving the child counselling which is mainly ignored by many parents and the negative experience is a 13-year-old child faced bullying by his fellow friends in the school. I would suggest proper orientation for all children at school is required (Willis, Harvey, Carryer, Pearson, & Henderson, 2017).
Conclusion
It can be concluded that proper concealing is required for a suicidal person and need to analyse the factor, which led him to do such a step. In this case, proper orientation is required for all children to understand that all are unique with their own set of characteristics.
Action plan
The action plan to deal with such situations is to give regular basis counselling to that child and makes him realise that the life of a person is princess less. Giving him the self-confidence to cope with such situations further in life (Willis, Harvey, Carryer, Pearson, & Henderson, 2017)
- b) Professional Standards
Code of Practice for Health Workers
Healthcare workers must promote, support, and protect the policies and strategies of ministry
The health care worker needs to effectively protect, promote, and support the policies, which are created by the ministry (Wilson, Jayamaha, & Frater, 2018). They take the responsibility to promote different methods and make all the decisions informal in nature.
Two major policies from workplace
Two policies are used, one is ethical policy, and another one is professional policy. The ethical policy is to secure all the data of the patients and does not disclose it to any other third party and the professional policy suggests the professional should prefer the patients to other doctors who can treat that specific disease.
Example from a reflective journal
The patient is suffering from eye disease and speech problems, when the patient is trying to speak the word are jumbled up. The eyesight of the patient is also not good. The child was not able to see objects clearly.
- c) Ethical Standards
Behaviour and responsibility of professionals
- Professionals can use technological advancement in decision-making.
- Professionals should not use any sort of secret remedy.
Behaviour and responsibility to the patients
- Need mutual respect between doctor and patient.
- Information should be recorded timely.
Description
In my experience, I can suggest that the action of all the healthcare providers plays an important role to improvise the condition of the patient. They should protect the records of the patients timely.
Feelings
It can be suggested that all the practitioners need to analyse the situation in a more detailed manner that can help the person to create some sort of starry, which will be effective and prior for such a condition. My experience reveals that the challenge can make the person confused about the way out plan (Wilson & Abbott, 2019).
Evaluation
Some interventions can be adapted to deal with such activity of nurses proper verification of the hierarchy once in a week can make the activity of nurses much more efficient.
Analysis
From my practice days, I noticed good professionals respect the relationship between patients and doctors mutually.
Conclusion
In case I face the same situation I try to scrutinize all healthcare works on a daily basis by appointing some additional health professionals and making strict rules if someone is found with such negligence (Stuetzle, Pavlin, Smith, & Weston, 2018).
Examples from a reflective journal
In my early days of practice, I found medical patients who were suffering from mental illness. Proper gulden recovers the condition of the patient drastically.
Part C: Reflection: Adaptability and Willingness to change
Description
Working under Pressure
The health care profession is one of the highly stressed fields as life and death of human life is in the hands of health professionals. Health professionals experience long working hours and that causes mental stress and anxiety. There are several evidence that shows a health practitioner suffers excessive mental stress in the workplace (health.govt.NZ, 2019).
Communication
In health care services, communication is an important key to strengthening relationships with patients. Different patients require different modes of communication such as a practitioner needs to learn the body language, when treating such people. On the other hand, a person with speech problems requires another way of communication. A patient can recover fast with a proper way of communication and good communication can help a patient to open up about their problems to health professionals (/kidshealth.org, 2020).
Cultural Differences
In order to provide high-quality health services, health professionals need to be unbiased about culture and customs. Culture plays a crucial role in medical interaction and it has a huge impact on the decision-making process. Cultural differences influence health services in various ways including interaction and communication with nurses, doctors, health disparities and so on. However, it needs to keep in mind that a patient has no religion and provide an equal opportunity to get medical assistance (lakeparkretirement.org, 2020).
Feeling
Working under Pressure
Instead of high pressure in the workplace, a health professional has to keep calm in every situation. In order to discuss problems, it needs to hear the patient’s problem with patience. It is difficult for me to keep patience in any difficult situation however with help of proper guidance I get accustomed to difficult situations. In health care services there are lack of health professionals due to this working pressure therefore it also needs counselling to doctors so that they can capable to handle this difficult situation.
Communication
In order to treat physically challenged people, especially blind people and people with speech disability it needs a special way of communication. Therefore, a health professional needs proper guidance to learn about communication processes and tackle the situation accordingly. Over time, it becomes easy to communicate with such patients and they feel free to share problems (mindtools.com, 2020).
Cultural differences
I was a health professional do not differentiate people with the base of culture. However, in involving acting as a health professional I have seen that several people within the health organisation are biased with their culture. There are several patients, who come for treatment and have unconscious prejudices. They tend to believe biases can create a gap within a relationship with professionals.
Evaluation
Working under Pressure
Most people are able to take huge pressure and most people are unable to take the pressure and suffer anxiety and depression. There are both positive and negative sides to working under pressure such as a person becomes able to deal with any difficult situation. On the other hand, a huge pressure creates several mental illnesses among professional that sometimes leads to making suicidal thought (Came, O’Sullivan, & McCreanor, 2020).
Communication
Different Professionals show different approaches to make a strong relationship and to acquire the trust from patients. A good approach to communicate with physically challenged people is not to differentiate such people from normal people and treat them as normal. The positive side of treating such people is there are different subjects for learning such as how to be more patient and calm; Sign language and body language are also learned from treating patients (NCBI. NLM, 2016).
Action Plan
Working Under pressure
In order to reduce the pressure in a health organisation, it needs an increasing number of professionals. Therefore, the government needs to implement policies for health care that can attract the people involved in health services.
Communication
Code of ethics in health services suggests that health care professionals have to keep confidential patient records (who. int, 2020). Therefore, in such a way a health professional can get patients’ trust and share problems.
Cultural Differences
In order to reduce cultural differences in the healthcare field, it needs to increase awareness about the negative impact of cultural issues among professionals and patients.
Conclusion
It is concluded that health professionals play a critical and central role in improving the quality of healthcare. However, the difficult situation is most health professionals enjoy their work. In Spite of several difficulties that arise in the workplace, health professionals are able to overcome this situation.
Part D: Holistic approach of work experience
The practice of public health is considered as a science as well as an art and health professionals work across all or some of its core domains such as health services, health improvement, and protection. The Public health Faculty provides guidance and direction to enable the development of the skills and behaviour of health professionals towards patients. The development of health care practices can be described with the help of ‘Gibbs Reflective cycle’ which is useful for helping professionals learn from previous experiences (Gilson, Johnson, Davis, & Brunton, 2018). In the healthcare profession, a health practitioner can be involved in continuous development by learning from experience in workplaces. This model consists of four components as Description, Feelings, Evaluation, Conclusion and Action plan and professionals need to go through these four steps respectively.
Description
Health professionals have a prior responsibility to build up a good relationship with patients for diagnostic purposes. As a health professional, I have experienced such incidents, where I have to interact with physically challenged people. It is difficult to interact with physically disabled people, as they are unable to express actual problems to health professionals. It requires more patience, when interacting with such people and needs to let these patients speak and work at their own pace. A health professional needs to understand the proper way of communication so that a patient can share problems without any hesitation. There are some people, whose physical disability is not easily recognised therefore a health professional has a responsibility to identify such issues. It needs to communicate with these patients in such a way as normal people and need not distinguish (Cooper, Mitchell, Richardson, & Bramley, 2019).
As a health professional, I have diagnosed people who have a problem with visual impairment. This patient argues that this disability is not from the time of birth but this happens due to a road accident. It is difficult to accept this situation for this person and he needs medical support as well as mental support. Therefore, before diagnosing this patient a health professional needs to ask questions about the entire situation and needs to give mental support. Therefore, I have heard the entire situation and given him mental support before starting a medicine diagnosis (Fitzpatrick & Burrows, 2017).
Another situation I have experienced in my career is an interview with a person who has speech Related disabilities. In this situation, I have phrased the question that needs to ask for a diagnosis of these issues so that this patient can answer with little response. In this case, health professional needs to give total attention to such patients to understand problems and do not ask to repeat the answers for clarification even if it is necessary. In a situation I have never pretended to understand the answers that are difficult, to understand and repeat what I have recognised and let the patient guide me in understanding. It needs patience and communication with such a patient in a quiet and calm way. Therefore, a good relationship with a patient can strengthen the communication and the entire diagnosis process becomes successful. In the workplace it is also necessary to build up a strong relationship with colleagues, especially in healthcare, communication is one of the necessary keys to protect patient safety. In these two situations mentioned above communication is the only way to make a better relationship with such patients. There are many people, who laughed at such people as physically disabled as a result these people become arrogant and scared to share the problems. Therefore, a health professional needs to know the proper way to provide a comfort zone to these people to gain trust from these people. As a health professional, I tried to create a friendly ambience in order to communicate with these patients and got a successful result as communication is done in a proper way (Gilson, Johnson, Davis, & Brunton, 2018).
Feelings
I feel it is difficult to communicate with such people however; it becomes easy after proper guidance of professional development. Speech problems occur among people from early childhood and need a diagnosis over the long years. In order to treat such diseases, communication is the only way to avoid this problem. These patients need family support as well as health practitioner support for recovery. A speech-language therapist is trained to observe the way people ask and identify speech problems. These problems include articulation, fluency and motor skills and therapist observer when people stutter in speech. I used to think it is difficult to understand the problem stated by persons with speech disabilities however in this primary state of this situation it is difficult to understand every speech the person discussed. Over time frequent interaction with this patient makes it easy, to understand the speech therefore it becomes easy to solve these issues. I can imagine from my point of view that other people also face problems in the primary phase of this situation and get accustomed over time (Hall, Donovan, & Wilkes, 2018).
In another situation of diagnosing this blind person, it is difficult to provide mental support initially as he is suffering from a devastating crisis. Therefore, a friendly environment is created to help this patient to open up and discuss the problems. These patients need medical support as well as mental support to overcome this situation however initially it is difficult to open them up and discuss problems. Later this patient is about to open up and discuss the problems and become mentally strong. Several health professionals do have not a clear idea about the way of communication to such people, as it needs to shake hands when introducing you to such patients. However, these professionals become skilled in how to treat these people with proper guidance and previous experience (Kujala, Hörhammer, Heponiem, & Josefsson, 2019).
Evaluation
In order to treat such patients a health professional needs to understand the proper approach of communication. A person with speech impairment needs to provide an opportunity to finish their sentence and do not hurry these patients. A health professional requires immense patience in that situation as a person with such disabilities takes a long time to finish a sentence. Several professionals lose their patience to hear the complete sentence and interfere in the middle of talking and it affects the patient’s condition. A patient requires deep attention when talking to health professionals therefore a wrong step can change the patient’s behaviour. A patient with a physical disability suffers several difficulties in daily livelihood and faces many problems from society. Therefore, health professionals have a responsibility to behave in a proper way so that these people can fight any difficult situation. Different people follow different approaches to cope with difficult situations. I would like to suggest that in order to treat physically challenged people proper knowledge about this illness is necessary. Therefore, before treating such patients a health professional needs to go through immense research about this disease. It needs to look over the previous cases experienced by its own or others and needs to enable its positive and negative impact on the patient.
There are several health practitioners, who provide only medical assistance and give medicine for recovery (Reddy, Reddy, Karthik, & Priya, 2020). On the other hand, some professionals are primarily interested to know about the family history, background and the cause of this illness, therefore, providing medical assistance as well as medicines.
According to a professional code of conduct, a health professional is bound to follow a strict code of conduct that embodies high values, ethical standards, uphold professional integrity, and protect patients’ interest. This code of conduct suggests that a health professional needs to respect patient privacy and need to maintain confidentiality. In this way, a health professional can acquire the trust from patients and can communicate effectively. It needs to keep in mind that any advertising a health professional is involved in must be accurate and truthful and does not harm anybody. Several activities of a patient are influenced by a health professional’s guidance therefore, they need to rectify towards the patient. Several professionals forget to keep adequate and accurate patient records as a result patients get offended due to this carelessness. A health professional needs to act within the limit of their skills and if necessary, it needs to refer to another professional for better treatment. Several professionals are involved in such treatment that is out of their knowledge therefore patients face life risks. It is not the right decision to hold a patient for money therefore in this case a professional must show ethical duties or behaviour towards the patient (Roberts, Lockett, Bagnall, & Maylea, 2018).
Conclusion
It is concluded from the above situation that health professionals have several duties to protect patient health and provide proper safety in health organisations. Medical ethics is a set of values that a health practitioner can refer to in the case of any conflict or confusion. These values include respect for justice, autonomy, beneficence, and non-malfeasance. Beneficence refers to doing well to patients and Non- malfeasance refers to no harm to others (Salari & Filus, 2017). Each of the healthcare professionals abides by a Hippocratic Oath that suggests that professionals must have clarity in treating patients and must behave ethically towards patients. It needs to be unbiased towards patients in any situation such as cultural differences, language differences and so on. There are several problems arising in a health organisation due to cultural diversity that affect patients’ health. Several professionals with superstitious minds and having prejudice become biased to their culture create difficult situations. Therefore, a health professional needs proper guidance of working with patients with integrity, caring and honesty before treating them. The above-mentioned two cases, where a patient experiences an accident and loses vision and another incident, where the patient has a speech problem both need proper communication. Therefore, in order to communicate with such people a health professional needs to know how to conduct with these patients (Sulat, Prabandari, Sanusi, Hapsari, & Santoso, 2018). It needs regular reviews of patient records and audits frequently in responding constructively to improve patients’ health. It must be ensured that if any cases performance or judgement of a professional could be affected by treatment or condition it needs to consult another qualified professional. It needs not to be egoistic in health services and needs to consult other experienced professionals for providing better treatment to patients.
Action Plan
In order to look over patient safety, it is not only an individual’s duty but also it needs to work as a team. While treating such patients, who have a vision, disability and speech disability initially I learn from different sources the way of communication. Therefore, I learn body language that is beneficial for treating blind people and introduction to such patients is important to build up a strong relationship. Individuals have different responsibilities in taking care of a patient’s health and every member of a health organisation has played an important role to help the patient in improving health. Government has a responsibility to implement health policies that are beneficial for both patients’ and health professionals’ safety (Taylor, Cairns, & Glass, 2020). New Zealand residents and several visa holders are benefited from the New Zealand public health system that is low cost or free. In the implementation of policy, National Health Board and New Zealand Health workforce advise the Government’s ministry of health. The District Health Board of New Zealand provides hospital services, aged-care services, primary care services to both Pacific and Maori communities (caresearch.com, 2019). The government provides subsidies in medicines and it benefits medical assistance to the economically weaker section. There are several non-government organisations, which provide free medicines to economically weak people. In order to develop a medical system in a country, the government needs to implement such policies that not only benefit a specific section of the society but also provide medical assistance to the entire society. Individual health professionals are strictly abided by sixteen different responsible authorities (RAs) that are appointed under the act HPCA (gov.au, 2018). A professional must have the ability to accept any medical cases related to their medical background without any complaint. In this profession, there occur several situations, where it needs more patience to handle the situation without doing any wrong step. In a primary phase as a health practitioner, one needs to learn something new from previous mistakes and correct these accordingly. A professional has the ability in quick decision making as in a health organisation there arises different critical situation, where a decision needs to be made as quick as possible.
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